Successful treatment of tracheomediastinal fistula after tracheal injury obtained during esophagectomy using the pectoralis major muscle: A case report

Tadashi Koga, Masaru Morita, Koujiro Nishida, Eiji Oki, Yoshihiro Kakeji, Yoshihiko Maehara

研究成果: ジャーナルへの寄稿記事

6 引用 (Scopus)

抄録

When tracheal injury occurs during esophagectomy, it is a very serious and frequently fatal complication. We experienced a case of intractable tracheomediastinal fistula caused by tracheal injury during esophagectomy that was successfully repaired using a pedicle flap of the left pectoralis major muscle. A 55-year-old Japanese man who had congenital right aortic arch was referred to our hospital with a complaint of dysphagia. He had a type 2 carcinoma from the distal part of the cervical esophagus to the upper thoracic esophagus, 4.5 cm in length and attached to the membranous wall of the trachea. Subtotal esophagectomy was performed with left thoracotomy. The tumor adhered tightly to the membranous portion of the trachea, and the trachea was injured during removal of the tumor. The laceration was directly sutured and covered with a latissimus dorsi muscle flap. However, a tracheomediastinal fistula became enlarged and the left subclavian artery became exposed. Repair of the fistula was performed 31 days after the first operation: a permanent tracheotomy was made, laryngectomy was performed, and the fistula was filled with a pedicle flap of the pectoralis major muscle. The postoperative course was uneventful and the patient's general condition improved. The use of a pectoralis major muscle flap was effective for repairing the tracheomediastinal fistula.

元の言語英語
ページ(範囲)41-44
ページ数4
ジャーナルEsophagus
5
発行部数1
DOI
出版物ステータス出版済み - 3 1 2008

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Pectoralis Muscles
Esophagectomy
Fistula
Trachea
Wounds and Injuries
Esophagus
Therapeutics
Tracheotomy
Laryngectomy
Subclavian Artery
Superficial Back Muscles
Lacerations
Thoracotomy
Deglutition Disorders
Thoracic Aorta
Neoplasms
Thorax
Carcinoma
Muscles

All Science Journal Classification (ASJC) codes

  • Gastroenterology

これを引用

Successful treatment of tracheomediastinal fistula after tracheal injury obtained during esophagectomy using the pectoralis major muscle : A case report. / Koga, Tadashi; Morita, Masaru; Nishida, Koujiro; Oki, Eiji; Kakeji, Yoshihiro; Maehara, Yoshihiko.

:: Esophagus, 巻 5, 番号 1, 01.03.2008, p. 41-44.

研究成果: ジャーナルへの寄稿記事

Koga, Tadashi ; Morita, Masaru ; Nishida, Koujiro ; Oki, Eiji ; Kakeji, Yoshihiro ; Maehara, Yoshihiko. / Successful treatment of tracheomediastinal fistula after tracheal injury obtained during esophagectomy using the pectoralis major muscle : A case report. :: Esophagus. 2008 ; 巻 5, 番号 1. pp. 41-44.
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abstract = "When tracheal injury occurs during esophagectomy, it is a very serious and frequently fatal complication. We experienced a case of intractable tracheomediastinal fistula caused by tracheal injury during esophagectomy that was successfully repaired using a pedicle flap of the left pectoralis major muscle. A 55-year-old Japanese man who had congenital right aortic arch was referred to our hospital with a complaint of dysphagia. He had a type 2 carcinoma from the distal part of the cervical esophagus to the upper thoracic esophagus, 4.5 cm in length and attached to the membranous wall of the trachea. Subtotal esophagectomy was performed with left thoracotomy. The tumor adhered tightly to the membranous portion of the trachea, and the trachea was injured during removal of the tumor. The laceration was directly sutured and covered with a latissimus dorsi muscle flap. However, a tracheomediastinal fistula became enlarged and the left subclavian artery became exposed. Repair of the fistula was performed 31 days after the first operation: a permanent tracheotomy was made, laryngectomy was performed, and the fistula was filled with a pedicle flap of the pectoralis major muscle. The postoperative course was uneventful and the patient's general condition improved. The use of a pectoralis major muscle flap was effective for repairing the tracheomediastinal fistula.",
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